Your Weekly Dose of #5ThoughtsFriday: A description of what we think is important at BIAMD
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The "Trevi Fountain Opens" Edit ion



(May 22, 2020)

12:00-1:00 pm EST

Virtual Resources with Real Solutions:
Person Centered Tools for Support During COVID

Free to view live webinar or recording
(Recording will be archived after the live airing)

Presenter: Anastasia Edmonston MS CRC, TBI Partner Project and Certified Person Centered Thinking Trainer, Maryland Behavioral Health Administration

Learn how to support those who are in healthcare settings due to the Covid-19 virus. The healthcare system has responded heroically during this time of crisis. However, family members and caregivers cannot be with those they love due to the need to isolate to reduce viral spread.

The One Page Profile, a Person-Centered Thinking Discovery Tool, has been in use for over 20 years in multiple settings to provide supporters a brief introduction of priorities, needs and optimal supports. In addition, the newly developed Health Passport provide additional medical information important for healthcare providers.

This webinar will discuss:

> How family, friends and providers can best share information with healthcare staff who are caring for individuals with brain injury
> How to create a one-page profile that can guide person-centered supports for medical professionals
> Strategies specific to supporting someone living with a history of brain injury

MAY is National Stroke Awareness Month.
Here are the 5 things we thought were
worth sharing with you this week:

This week I had the pleasure of conducting a Facebook Live interview with Wendy Chang, Principal Investigator of the BOOST-3 Study at University of Maryland’s Shock Trauma Center. The goal of this randomized clinical trial is to determine the comparative effectiveness of two strategies for monitoring and treating patients with traumatic brain injury (TBI) in the intensive care unit (ICU), with the hopes of improving patient’s long-term outcomes and quality of life.

Of the approximately 3.5 million Americans that sustain a TBI each year, 50,000 die and another 300,000 survive the injury. The increase in survival rates is due to advancements in emergency medicine and intensified focus on the “golden hours” of treatment, or the initial hours after a severe brain injury. “The golden hours are critical,” says Robert Neumar, M.D., Ph.D., professor and chair of emergency medicine at the University of Michigan Medical School. “They can determine whether a patient survives their injury and, if so, what type of long-term function and disability issues they may have.”

When an individual enters the ICU after a severe brain injury, physicians monitor intracranial pressure and treat the elevated pressure to prevent a secondary injury. However, low brain tissue oxygen (cerebral hypoxia) also causes brain cell loss and prevents recovery. Recent clinical trials have shown that monitoring the partial pressure of brain tissue oxygen allows for faster interventions, which has prompted physicians to measure brain tissue oxygen as part of standard practice. Monitoring both intracranial pressure and brain tissue oxygen helps physicians precisely adjust treatment in the crucial time after injury – including medication dosages, IV fluids, ventilator settings, blood transfusions, and other medical care. BOOST-3 is designed to compare both strategies and identify if one is more effective than the other.

CLICK HERE for Arin's article on this issue.

CLICK HERE for the article in downloadable PDF.
We are witnessing mandated social isolation and social distancing on an epic scale. As part of BIAMD's interest in serving Maryland's Brain Injury Community, we are starting what we call "Check-In Chats".

We would like to "check in" with anyone looking to share their experiences and challenges with either an individual or in a social group setting.

Even though we can't meet in person, there are many ways open to us, and, if you are interested, we would like to hear from you about your needs and how we can help you feel more connected.

Once we hear from you, we can move forward in setting up our chats. We look forward to hearing from you soon.

Please CLICK HERE to sign up using our online registration form and express your interest in participating an upcoming conversation either individually or in a group.

The Check-In Chat is Today, Friday May 22nd, at NOON , with a Pre-Chat Tech Check at 11:30am for anyone who would like to take a few extra minutes to make sure they will be able to log in and participate.

Once we receive your registration, we will send you the link.

Come join us!
Testing the treatment on injured rats, they found those animals given a single dose of the drug at the trauma site recovered full movement and sensitivity in as little as two weeks, compared to an untreated group that continued to show motor and sensory impairment beyond six weeks after the injury.
The breakthrough in treating such injuries -- referred to as central nervous system (CNS) edema -- is thought to be hugely significant because current options are limited to putting patients in an induced coma or performing risky surgery.

Brain and spinal cord injuries affect all age groups. Older people are more at risk of sustaining them from strokes or falls, while for younger age groups, major causes include road traffic accidents and injuries from sports such as rugby, US-style football and other contact games.

The high-profile example of Formula 1 racing driver Michael Schumacher demonstrates the difficulties physicians currently face in treating such injuries. After falling and hitting his head on a rock while skiing in Switzerland in 2013, Schumacher developed a swelling on his brain from water rushing into the affected cells. He spent six months in a medically-induced coma and underwent complex surgery, but his rehabilitation continues to this day.

The new treatment, developed by an international team of scientists working at Aston University (UK), Harvard Medical School (US), University of Birmingham (UK), University of Calgary (Canada), Lund University (Sweden), Copenhagen University (Denmark) and University of Wolverhampton (UK), features in the latest edition of the scientific journal Cell.

CLICK HERE for more on this exciting new finding.

CLICK HERE for a PDF copy of the article from Cell.
Photo by  Ali Yahya  on  Unsplash
When we’re overwhelmed by emotions, we’re usually not our best selves. We may blow up, say hurtful things or burst into tears. But what if we had a tool we could use to turn down the temperature at those times? Psychologist Marc Brackett has a helpful strategy.
As we all know, our best attempts at calm, thoughtful reflection work only when we feel in control of our emotions. If you’re raging with resentment or crushed by disappointment, you’re probably not capable of the reasoning required to see a situation in a new light. You first need to bring down your emotional temperature, lower your activation, and give yourself the space required for rational thought. You might take a few deep breaths, a few steps back, a walk around the block.

Or, maybe you’re ready for the Meta-Moment. A decade ago, Robin Stern, psychoanalyst and associate director of our center, and I were wondering why so many people in our society are addicted to strategies that derail them from achieving their goals. Robin had worked with hundreds of patients who were unsuccessful even after learning new tactics, and I observed schoolchildren and educators who didn’t employ the strategies they were learning — even when they knew they were helpful.

Many of us were exposed to destructive responses early in our lives — negative talk, screaming, blaming and so on. They require little cognitive control, and they’re often effective at getting rid of negative feelings and providing temporary gratification. But at the time, we fail to realize these strategies also can ruin our relationships and derail us from achieving our goals. So we developed a tool we call the Meta-Moment — a hitting of the brakes and stepping out of time.

CLICK HERE for more on Psychologist Marc Brackett helpful strategy.
If you are having signs or symptoms of a stroke, CALL 911 immediately. TIME IS BRAIN. The longer you wait, the more difficult it may be to treat your resulting stroke symptoms.

An easy way to remember the most common signs of stroke and how to respond is F.A.S.T.:

F   = Face drooping: Ask the person to smile. Does one side droop?

A  = Arm weakness: Ask the person to raise both arms. Does one arm drift downward?

= Speech difficulty: Ask the person to repeat a simple sentence. Are the words slurred?

= Time to call 9-1-1: If the person shows any of these signs, call 9-1-1 immediately. 

Zoom Room Support Group Meeting for Caregivers

If you're missing your in-person Brian Injury Caregiver Support Group due to cancellations but still would like to join in with others caring for a Brain Injury Survivor, please join our Zoom Room Support Group Meeting for Caregivers this Sunday evening from 7:30-8:45pm (Eastern Time).
Login with this link:
Find out more information on our website:  
or contact Tom Gallup at

2) What We are Reading This Week and Know You Will Enjoy
CLICK HERE and scroll down to listen to Marc speak with Brene' Brown about "Permission to Feel".
Marc Brackett is a professor in Yale University’s Child Study Center and founding director of the Yale Center for Emotional Intelligence. In his 25 years as an emotion scientist, he has developed a remarkably effective plan to improve the lives of children and adults – a blueprint for understanding our emotions and using them wisely so that they help, rather than hinder, our success and well-being.

His prescription for healthy children (and their parents, teachers, and schools) is a system called RULER, a high-impact and fast-effect approach to understanding and mastering emotions that has already transformed the thousands of schools that have adopted it. RULER has been proven to reduce stress and burnout, improve school climate, and enhance academic achievement. This book is the culmination of Marc’s development of RULER and his way to share the strategies and skills with readers around the world. It is tested, and it works.

This book combines rigor, science, passion and inspiration in equal parts. Too many children and adults are suffering; they are ashamed of their feelings and emotionally unskilled, but they don’t have to be. Marc Brackett’s life mission is to reverse this course, and this book can show you how.

CLICK HERE for more.
1) Quote We Are Contemplating...

“Life is not always a matter of holding good cards, but sometimes, playing a poor hand well.”

Have you ever clicked on the pictures posted at the end of every #5ThoughtsFridays? Try it. You might learn something fun!
Photo by  Viktor Nikolaienko  on  Unsplash

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  Thanks for reading! Have a wonderful weekend.